Individual
STEPHANIE JANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.10206
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2989762
—
OH
Enumeration date
09/03/2008
Last updated
12/16/2024
Update your record
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